Individual
MICHAEL H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2448 S 102ND ST STE 180, WEST ALLIS, WI 53227-2150
(630) 974-6602
(630) 487-2411
Mailing address
1100 JORIE BLVD STE 300, OAK BROOK, IL 60523-2219
(630) 974-6602
(630) 487-2411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15997-33
WI
Other
Enumeration date
10/03/2024
Last updated
05/22/2025
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